Hepatic Impairment: For patients under this category i.e. mild hepatic impairment (Child-Pugh A), no adjustment of this dose is required. Vardenafil clearance level is decreased in such patients with moderate hepatic impairment (Child-Pugh B), and for these people, 5mg of LEVITRA is recommended as a starting dose. But for such patients, the maximum dosage should never exceed 10mg. Evaluation of LEVITRA has never been carried out on patients with severe hepatic impairment (Child-Pugh C) (refer CLINICAL PHARMACOLOGY, WARNINGS and PRECAUTIONS, Metabolism and Excretion).
Geriatrics: For patients belonging to the category of age above 65 years, a starting dose of 5 mg LEVITRA are recommended (refer CLINICAL PHARMACOLOGY, PRECAUTIONS and Pharmacokinetics in Special Populations).

Renal Impairment: Patients having severe (CLcr < 30 ml/min), moderate (CLcr = 30-50 ml/min), or mild (CLcr = 50-80 ml/min) renal impairment, no adjustment in dosage is required.
LEVITRA hasn’t been evaluated yet on category of patients belonging to renal dialysis (refer CLINICAL PHARMACOLOGY, PRECAUTIONS, and Metabolism and Excretion).

Concomitant Medications: For patients receiving potent CYP3A4 inhibitors such as itraconazole, ketoconazole, saquinavir, indinavir, clarithromycin, atazanavir and ritonavir, and for patients receiving moderate CYP3A4 inhibitors including erythromycin, the adjustment of LEVITRA dosage may be required. In case of ritonavir, a single dose of about 2.5 mg LEVITRA should never exceed in a span of 72 hours.

For saquinavir, indinavir, ketoconazole 400 mg daily, clarithromycin, itraconazole 400 mg daily, and atazanavir, a single dosage of 2.5 mg LEVITRA must never be exceeded within a time span of 24 hours. For itraconazole 200 mg daily, for ketoconazole 200 mg daily, and erythromycin, a single dosage of 5 mg LEVITRA should never be exceeded in a time span of 24 hours. For alpha-blockers, special care should be taken when PDE5 inhibitors, which even include LEVITRA, are consumed concomitantly with alpha blockers since this can cause an additive effect on the blood pressure levels. Concomitant treatment must be initiated only when a patient is quite stable on his alpha blocker therapy.

Levitra- an amazing effect! 

I did not decide on buying Levitra at once. You I have always been a bit of skeptical about things like that. But my wife finally talked me into trying this medicine. Now I am no longer skeptical; Levitra amazed me with its effectiveness. Now I feel more confident in the sack and I think I can leave in the dust much younger guys! I told that at first I was incredulous about Levitra or any other similar medicine. When you experience problems like I did it is very difficult to entrust your health to some untried medications. However the constants reproaches of my wife drove me crazy and set my choice on Levitra. Now I do not feel sorry for my decision. Levitra is the best thing that has ever happened to me. It really works! And what is most amazing Levitra treats impotence independently of its origins.
Levitra helps people with arterial and venous blood circulation disorders, and people whose problem with potency was caused by psychologic traumatic experience, diabetes, increased cholesterol level in blood, hypochondria or combination of several factors(for example cardiovascular diseases plus some psychological problems).

Levitra has become a savior of my relationship. Now I am much happier with my wife, since nothing any more casts a shadow on our bliss.

Levitra – gave me a second youth! 

Levitra has totally changed my life! This medicine has made me stronger and more confident in the sack when I am with my wife. Levitra helped me to reassess my sexual abilities, and I did not even have the sensation it gave even when I was a college student. Everything has changed!!! Now I even have erotic dreams! And though I am far over 50, I feel like a 20 year old when it comes to sex. Levitra is a great thing! My wife was just delighted! I had never pleased her so much overnight.
Men who have same problem as me have long dreamed of such a medicine like Levitra. Levitra`s advantages against other ED drugs is a combination of such properties as high effectiveness and safety. My wife is long not in the age to be considered sexual and very much attractive, but nonetheless, I love her and do not imagine someone else but her by my site. I have gone through my whole life with her and to me she is the one. And I am happy that I have discovered Levitra for myself, since thanks to this medicine I can make love to my wife like I did when we just got married. Levitra is just a godsend for men of my age. Levitra gave me and my wife a second chance to live a life full of love and happiness. Levitra is a secret of my marital bliss!

Levitra my miraculous discovery! 

I like pleasing my wife and it goes against my principles to disappoint my wife even after a hard day’s work. But I have lately got a promotion at work and with it I have to work even more. By the end of working day I feel absolutely gutted. My colleagues do not have sex for weeks and very often their unsatisfied wives cuckold them. And only thanks to my little secret I manage to be successful both at work and in the sack! Levitra helps me to be energized during sex even after a difficult day and gives immense joy both to my wife and me. I got my first Levitra pacjk as a gift from a friend of mine when we celebrated my promotion. It was more of a joke, but he did not know how right he was. I did not confess but it became more and more difficult to stand the tempo of my work and be at my best in the sack. Thus this gift has become a good solution for my sexual problems. My wife is delighted with Levitra as well. Thanks to Levitra I have become more confident and my sexual drive is always on! I also want to thank my friend who first gave me a pack of Levitra. Levitra has cardinally changed my life. It has helped me to bring more joy into my sex life and rid it from doubts, failures and uncertainty.

A total of 755 men with erectile dysfunction completed a one-year treatment period with Levitra. Of those, 566 men agreed to continue receiving Levitra 10 mg or 20 mg in a double-blind study for an additional year. Of the 479 men who completed the study, two-year results showed:

• Nine in ten men taking Levitra reported improved erections throughout the study period (92% of men taking Levitra 20 mg and 90% of men taking Levitra 10 mg)
• Not only did Levitra significantly improve men’s erectile function, but study participants were reportedly five times more likely, on average, to maintain their erections through completion of sexual intercourse (89% vs. 17% at baseline for men taking Levitra 20 mg and 87% vs. 16% at baseline for men taking Levitra 10 mg)

Tonight…I decided to give it a trial run. Just about 2 hours ago I took half of a 10mg pill. I waited for 30 minutes and tried to think really arousing thoughts. I had no erection coming about…so at the 40 minute mark I decided to take the other half of the pill. So…it was staggered…but I finally had the full pill on board within 40 minutes. At the one hour point from taking the first 5mg…I decided I should be able to have a rock cutter of an erection. But I did not. So…I got up and went to the computer. I tried to get some images on the screen that would be arousing. I accidentally got more than I bargained for and ran into some really hard core images. Well…I started to spring to life…but not even as good as usual. Keep in mind…there was no performance anxiety going on here! I continued to fantasize and was able to satisfy myself. But…I must say…I don’t know how much the pill helped! I can say that I had half of a pizza earlier this evening…with plenty of cheese. Don’t know if that could of had an effect on the results. Any flushing I feel is minor compared to my memory of the Viagra. I sit here now…2 hours later and don’t have a headache. Interestingly enough, I almost felt like my penis was a little on the numb side after taking this pill. It’s hard to describe. So..now I’m afraid to depend on the Levitra when the performance really counts!

Good: minor amount of flushing, no headache, vision normal. Felt a little assistance with erection..but not much.

Bad: not sure it’s going to work for me when I really want to depend on it! Didn’t feel the enhanced 20 year old man…diamond cutter feelings that I expected. (read somewhere in these forums where an 80 year old man said Levitra gave him the best he’d ever had)

So…should I just take it for granted that Viagra worked better for me and pack up the Levitra? Should I take the 10mg all at once and not have any food first? Should I up the dose to 20mg?

I know a sexual encounter is coming soon…and I don’t want to worry! I want to rock her world!

What do you think?

he always looks at the young women.  We are retired.  I have tried to remain my weight and people say I do not look my age but lets face it there comes a time unless it is plastic surgery etc.  you are no longer that young chick.  I accept his weight , balding etc but he takes one look at me and no interest.  He tries to blame ED but I do not think that is all it is.  He was like this before he got this medication.

Bill.

David.

Jim.

Mike.